Relationship between nutrition status and dental occlusion in community-dwelling frail elderly people
Relationship between nutrition status and dental occlusion in community-dwelling frail elderly people
复制标题
DOI：
10.1111/j.1447-0594.2012.00855.x
复制
发表时间：
2013-01-01
影响因子：
3.3
通讯作者：
Tamura, Fumio
中科院分区：
文献类型：
--
作者：
Kikutani, Takeshi;Yoshida, Mitsuyoshi;Tamura, Fumio
目的：本研究的目的是确定在一些社区的体弱老人接受公共长期护理保险的营养不良的风险。我们还澄清了牙齿的问题，在那些有营养不良的风险。方法：共716体弱老人谁住在日本的8个城市（240名男性和476名女性，平均年龄为83.2 +/- 8.6岁）被分为三组，根据迷你营养评估简表的结果：营养良好，营养不良和营养不良的风险。根据剩余牙齿咬合和义齿咬合将他们分为三组：A组，自然牙列，功能充足; B组，部分或完全无牙，但保持功能咬合，其中一个或两个颌骨使用义齿; C组，功能不全咬合，无义齿。营养状况和牙齿咬合之间的关系进行了评估，使用Logistic回归分析与性别，年龄，日常生活活动和认知功能作为covariations.Results：在每个组的参与者的数量如下：251营养良好，370营养不良的风险和95营养不良。当他们被分为两组，（i）营养良好，（ii）在营养不良加上营养不良的风险，为了研究营养不良的危险因素，有显着的关系，他们的营养状况和性别，Barthel指数，和occlusion.Conclusion：这个大规模的横断面调查表明，自然牙咬合的损失是一个危险因素，营养不良的社区居住的体弱老人。Geriatr Gerontol Int 2013; 13：50-54.
Aim: This study aimed to determine the risk of malnutrition in some communities where the frail elderly receive public long-term care insurance. We also clarified the dental problems in those at risk of malnutrition.Methods: A total of 716 frail elderly who lived in eight cities in Japan (240 males and 476 females with a mean age of 83.2 +/- 8.6 years) were divided into three groups according to Mini Nutritional Assessment short form results: well nourished, at risk of malnutrition and malnourished. They were also divided into three groups in terms of remaining teeth occlusion and denture occlusion: group A, natural dentition with adequate function; group B, partially or fully edentulous, but maintaining functional occlusion with dentures in either or both jaws; and group C, functionally inadequate occlusion with no dentures. The relationship between nutrition status and dental occlusion was evaluated using logistic regression analysis with sex, age, activities of daily living and cognitive function as covariates.Results: The number of participants in each of the groups was as follows: 251 well nourished, 370 at risk of malnutrition and 95 malnourished. When they were divided into just two groups, (i) well nourished and (ii) at risk of malnutrition plus malnourished, in order to study malnutrition risk factors, there were significant relationships between their nutritious status and sex, Barthel index, and occlusion.Conclusion: This large-scale cross-sectional survey showed that loss of natural teeth occlusion was a risk factor for malnutrition among community-dwelling frail elderly. Geriatr Gerontol Int 2013; 13: 50-54.